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Health financing

Individual Documents

Date of publication: 13 March 2012
Description/subject: Executive Summary: "Background: In Myanmar over the last 20 years, the country has been presented with significant challenges in the financing of health care, due to both low public sector and overseas development assistance investments in health, and correspondingly very high out of pocket expenditure rates, amongst the highest in the region. Given the structure of the labour market in Myanmar with a very large informal sector (> 80%), revenues through social health insurance mechanisms are also minimal (less than 1%). In response to this problem, the Ministry of Health in 1993 developed a National Health Policy and nominated some alternative health financing mechanisms including Hospital Trust Funds (interest bearing Township Accounts for the poor), Community Cost Sharing (CCS – user fee mechanisms) and drug revolving funds (DRF). But despite these interventions, insufficient revenues have been raised to drive down OOP expenditures and reduce the burden of catastrophic payments for health on the poor. As a result, many national, international and community based organizations have designed and commenced Township based financing mechanisms to respond to the situation of low access of the poor to health care due to these financial and related demand side barriers. Given the extent of the schemes and the diversity of context in Myanmar, it was decided to undertake a review and mapping of these Township schemes and develop some options for improving alignment of these schemes with national health objectives and strategies. This review is intended to complement a wider situation analysis of health financing and expenditures undertaken through a Universal Health Coverage document and the publication of National Health Accounts..."
Language: English
Format/size: pdf (791K)
Date of entry/update: 27 June 2015